Individual
MS. RELLY KLARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
811 CHICAGO AVE APT 709, EVANSTON, IL 60202-2398
(847) 424-1971
(847) 424-1971
Mailing address
811 CHICAGO AVE APT 709, EVANSTON, IL 60202-2398
(847) 424-1971
(847) 424-1971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149007902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6263556
UBH
IL
01
—
7990401
AETNA
IL
Enumeration date
08/25/2005
Last updated
02/28/2019
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